scholarly journals Effects of insertion torque values on the marginal bone loss of dental implants installed in sheep mandibles

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Sergio Alexandre Gehrke ◽  
Jaime Aramburú Júnior ◽  
Tiago Luis Eirles Treichel ◽  
Tales Dias do Prado ◽  
Berenice Anina Dedavid ◽  
...  
Keyword(s):  
Bone Loss ◽  
Insertion Torque ◽  
Marginal Bone Loss ◽  
X Ray ◽  
Normal Bone ◽  
High Torque ◽  
Healing Bone ◽  
Low Torque ◽  
Torque Values

AbstractThe aim of the present in vivo study was to analyze and compare the effects on the crestal bone healing of two different implant macrogeometries installed in fresh socket areas and in normal bone areas with different insertion torque values. Two implant macrogeometries were used in the present study, DuoCone implant (DC) and Maestro implant (MAE), forming four groups: group DCws, in which the implants were installed in healing bone (without a socket); group DCfs, in which the implants were installed in post-extraction areas (fresh sockets); group MAEws, in which the implants were installed in healing bone (without a socket); group MAEfs, in which the implants were installed in post-extraction areas (fresh sockets). After 30 and 90 days of implantations in the bilateral mandibles of 10 sheep, eighty implants were evaluated through digital X-ray images and histologic slices. The crestal bone position in relation to the implant platform shoulder was measured and compared. The measured insertion torque was 47.2 ± 4.69 Ncm for the DCws group, 43.4 ± 4.87 Ncm for the DCfs group, 29.3 ± 3.16 Ncm for the MAEws group, and 27.7 ± 4.41 Ncm for the MAEfs group. The radiographic mesio-distal and histological bucco-lingual analyses showed significantly greater vertical bone loss in the implants installed with high torque (DC groups) in comparison to the implants installed with a low torque (MAE groups) (p < 0.05), at both evaluation times. In general, low insertion torque values (Maestro implants) showed better results of MBL when compared to implants installed with higher torque values (Duo Cone implants). Moreover, our results showed that the implants installed in the sites without sockets showed a less MBL in comparison with the implants installed in sites of fresh sockets.

Effects of Implanting Torques on Implant Osseointegration in an Animal Model

2022 ◽  
Vol 12 (5) ◽  
pp. 933-938
Author(s):  
Xuejian Zhang ◽  
Yue Deng ◽  
Yan Wang ◽  
Chuanrong Yin ◽  
Junzhao Gao
Keyword(s):  
Animal Model ◽  
Bone Resorption ◽  
Healthy Adult ◽  
Insertion Torque ◽  
Removal Torque ◽  
High Torque ◽  
The Difference ◽  
Low Torque ◽  
Torque Values ◽  
Surrounding Bone

Objective: To investigate the effect of insertion torque on implant osseointegration in an animal model. Methods: First, the first to fourth premolars of nine healthy adult beagles’ mandibular were extracted to form an edentulous area, and then the beagles were equally divided into three groups with different torques (low torque: 10–30 Ncm; medium torque: 30–50 Ncm; high torque: > 70 Ncm). Three implants were placed on each side of the edentulous area of the beagles (54 total), and the dogs were observed for 8 weeks. Implant performance and removal torque values (RTV) were determined at 1, 4, and 8 weeks after surgery. In addition, the expression ratios of OPG and RANKL mRNAs in the surrounding bone tissue were determined. Results: None of the 54 implants showed loosening or loss, and no significant bone resorption was observed. The removing torques and the expression ratios of OPG and RANKL mRNAs showed differences at 1 and 4 weeks after surgery, while they converged at 8 weeks after the surgery (p > 0.05). Conclusion: The osteointegration process lasted approximately 8 weeks depending on the difference in parameters, and all parameters showed the same values even though the insertion torques at the beginning were different.

scholarly journals Clinical and Radiological Evaluation of Marginal Bone Loss around Dental Implants Restored with Zirconium vis-à-vis Porcelain Fused to Metal: An In Vivo Study

2020 ◽  
Vol 08 (01) ◽  
pp. 17-21
Author(s):  
Udey Singh Wirring ◽  
Tarun Kalra ◽  
Manjit Kumar ◽  
Ajay Bansal ◽  
Aquib Javaid
Keyword(s):  
Bone Loss ◽  
Dental Implants ◽  
Test Group ◽  
Radiographic Evaluation ◽  
Control Group ◽  
Marginal Bone Loss ◽  
Zirconia Crowns ◽  
Bone Level ◽  
The Difference

Abstract Introduction Marginal bone level is the criterion for implant success. Patient expectations for more natural looking implant restorations created the need to restore implants with more esthetically pleasing materials like Zirconia rather than conventional porcelain-fused to-metal (PFM) crowns. The aim of this study was to evaluate marginal bone loss around dental implants clinically and radiographically when restored with Zirconia and PFM prosthesis. Materials and Methods Two groups (control and test) were formed with 14 patients each. In the control group, the subjects were rehabilitated with PFM crowns and in the test group, the subjects were rehabilitated with Zirconia crowns. Rehabilitation was done after the healing period of 3 months. Radiographic evaluation was done at regular (baseline, 3rd, 6th, and 12th month) intervals. Results The results were statistically analyzed. Keeping in mind the limitations of the study, it was revealed that the difference in the crestal bone resorption in both the groups was not significant.

scholarly journals Torque Loss After Miniscrew Placement: An In-Vitro Study Followed by a Clinical Trial

2016 ◽  
Vol 10 (1) ◽  
pp. 251-260 ◽  
Author(s):  
Marco Migliorati ◽  
Sara Drago ◽  
Fabrizio Barberis ◽  
Irene Schiavetti ◽  
Domenico Dalessandri ◽  
...  
Keyword(s):  
In Vitro Study ◽  
Insertion Time ◽  
Controlled Environment ◽  
Insertion Torque ◽  
Experimental Setup ◽  
Percentage Difference ◽  
Torque Loss ◽  
Torque Values

To evaluate torque loss a week after insertion, both in an in vivo and an in vitro experimental setup were designed. In the in vivo setup a total of 29 miniscrews were placed in 20 patients who underwent orthodontic treatment. Maximum insertion torque (MIT) was evaluated at insertion time (T1). A week later, insertion torque was measured again by applying a quarter turn (T2); no load was applied on the screw during the first week. In the in vitro setup a total of 20 miniscrews were placed in pig rib bone samples. MIT was evaluated at insertion time (T1). Bone samples were kept in saline solution and controlled environment for a week during which the solution was refreshed every day. Afterwards, torque was measured again by applying a quarter turn (T2). The comparison of MIT over time was done calculating the percentage difference of the torque values between pre- and post-treatment and using the parametric two independent samples t-test or the non-parametric Mann–Whitney test. After a week unloaded miniscrews showed a mean loss of rotational torque of 36.3% and 40.9% in in vitro and in in vivo conditions, respectively. No statistical differences were found between the two different setups. Torque loss was observed after the first week in both study models; in vitro experimental setup provided a reliable study model for studying torque variation during the first week after insertion.

scholarly journals A One-year Follow-up Study of a Tapered Hydrophilic Implant Design Using Various Placement Protocols in the Maxilla

2016 ◽  
Vol 10 (1) ◽  
pp. 680-691 ◽  
Author(s):  
Jakob Zwaan ◽  
Leonardo Vanden Bogaerde ◽  
Herman Sahlin ◽  
Lars Sennerby
Keyword(s):  
Survival Rate ◽  
Bone Loss ◽  
Implant Design ◽  
Insertion Torque ◽  
Daily Routine ◽  
High Survival ◽  
Marginal Bone Loss ◽  
The Mean ◽  
One Year

Purpose: To study the clinical/radiographic outcomes and stability of a tapered implant design with a hydrophilic surface when placed in the maxilla using various protocols and followed for one year. Methods: Ninety-seven consecutive patients treated as part of daily routine in two clinics with 163 tapered implants in healed sites, in extraction sockets and together with bone augmentation procedures in the maxilla were evaluated after one year in function. Individual healing periods varying from 0 to 6 months had been used. Insertion torque (IT) and resonance frequency analysis (RFA) measurements were made at baseline. Follow-up RFA registrations were made after 6 and 12 months of loading. The marginal bone levels were measured in intraoral radiographs from baseline and after 12 months. A reference group consisting of 163 consecutive straight maxillary implants was used for the comparison of baseline IT and RFA measurements. Results: Five implants failed before loading, giving an implant survival rate of 96.9% and a prosthesis survival rate of 99.4% after one year. The mean marginal bone loss after one year was 0.5 mm (SD 0.4). The mean IT was statistically significantly higher for tapered than for straight reference implants (41.3 ± 12.0 Ncm vs 33.6 ± 12.5 Ncm, p < 0.001). The tapered implants showed a statistically insignificantly higher mean ISQ value than the straight references implants (73.7 ± 6.4 ISQ vs 72.2 ± 8.0 ISQ, p=0.119). There was no correlation between IT and marginal bone loss. There was a correlation between IT and RFA measurements (p < 0.001). Conclusion: The tapered implant showed a high survival rate and minimal marginal bone loss after one year in function when using various protocols for placement. The tapered implant showed significantly higher insertion torque values than straight reference implants.

scholarly journals Correlation between Insertion Torque and Implant Stability Quotient in Tapered Implants with Knife-Edge Thread Design

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Domenico Baldi ◽  
Teresa Lombardi ◽  
Jacopo Colombo ◽  
Gabriele Cervino ◽  
Giuseppe Perinetti ◽  
...  
Keyword(s):  
Torque Control ◽  
Pairwise Comparisons ◽  
Insertion Torque ◽  
Knife Edge ◽  
Implant Stability ◽  
Implant Stability Quotient ◽  
Significant Difference ◽  
High Torque ◽  
Low Torque ◽  
Implant System

Aim. To evaluate the correlation between insertion torque (IT) and implant stability quotient (ISQ) in tapered implants with knife-edge threads.Methods. Seventy-five identical implants (Anyridge, Megagen) were inserted by using a surgical drilling unit with torque control and an integrated resonance frequency analysis module (Implantmed, W&H). IT (N/cm) and ISQ were recorded and implants were divided into three groups (n=25) according to the IT: low (<30), medium (30 < IT < 50), and high torque (>50). ISQ difference among groups was assessed by Kruskal-Wallis test, followed by Bonferroni-corrected Mann–WhitneyU-test for pairwise comparisons. The strength of the association between IT and ISQ was assessed by Spearman Rho correlation coefficient (α=0.05).Results. At the pairwise comparisons, a significant difference of ISQ values was demonstrated only between low torque and high torque groups. The strength of the association between IT and ISQ value was significant for both the entire sample and the medium torque group, while it was not significant in low and high torque groups.Conclusions. For the investigated implant, ISQ and IT showed a positive correlation up to values around 50 N/cm: higher torques subject the bone-implant system to unnecessary biological and mechanical stress without additional benefits in terms of implant stability. This trial is registered withNCT03222219.

scholarly journals One-Year Results of a Randomized Controlled Clinical Trial of Immediately Loaded Short Implants Placed in the Lower Posterior Single Molar Using a Complete Digital Workflow

2019 ◽  
Vol 9 (7) ◽  
pp. 1282 ◽  
Author(s):  
Yeon-Wha Baek ◽  
Young-Jun Lim ◽  
Jungwon Lee ◽  
Ki-Tae Koo ◽  
Myung-Joo Kim ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Soft Tissue ◽  
Bone Loss ◽  
Controlled Clinical Trial ◽  
Insertion Torque ◽  
Marginal Bone Loss ◽  
Model Free ◽  
Short Implants ◽  
Significant Difference ◽  
Computer Aided

The purpose of this randomized clinical trial is to evaluate immediately loaded single implants with varying lengths in the posterior mandible using a fully digital, model-free prosthetic-driven implant planning pathway, and to compare clinical and radiological outcomes of short and long implants. The 52 patients with the single tooth missing in the posterior molar regions of the mandible were randomly assigned to the control (CMI IS-III active® long implant; 5.0 × 10 mm) and experimental (CMI IS-III active® short implant; 5.5 × 6.6, 7.3, 8.5 mm) groups. For each patient, a single implant was placed using the computer aided surgical template and all prostheses were fabricated by means of computer-aided design/computer-aided manufacturing (CAD/CAM) system on the virtual model. The patients received provisional and definitive monolithic zirconia prostheses at 1 week and 12 weeks after implant surgery, respectively. The implant stability quotient (ISQ) measurements and periapical radiographs were taken and peri-implant parameters were evaluated at 1, 3, 4, 8, 12, 24, 36, and 48 weeks after surgery. Nineteen long implants and 27 short implants were finally used for the statistical analysis. There was no significant difference between the groups in terms of insertion torque, ISQ values (except 3 weeks), marginal bone loss, and peri-implant soft tissue parameters (p > 0.05). Both groups exhibited no stability dip during the early phase of healing. The average marginal bone loss from the baseline of implant placement for the control and experimental groups was −0.07 and 0.03 mm after 12 weeks and 0.06 and 0.05 mm after 48 weeks. All of the soft tissue parameters were within normal limits. Within the limits of the short term follow up, immediate loading of short single implants can be considered as one of predictable treatment modality in mandible with reduced bone height when primary stability can be achieved.

scholarly journals A Modified Murine Calvarial Osteolysis Model Exposed to Ti Particles in Aseptic Loosening

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Zhantao Deng ◽  
Shuai Wang ◽  
Mengyuan Li ◽  
Guangtao Fu ◽  
Chang Liu ◽  
...  
Keyword(s):  
Bone Loss ◽  
Aseptic Loosening ◽  
Tartrate Resistant Acid Phosphatase ◽  
Micro Ct ◽  
Calvarial Bone ◽  
X Ray ◽  
Severe Bone Loss ◽  
Trap Staining ◽  
Ti Particles

Aim. To investigate the different effects on osteolysis between commercial pure Ti particles and TiAl6V4 particles obtained from prosthesis of patients with aseptic loosening. Method. Scanning electron microscope, energy dispersive X-ray spectrometry, and X-ray diffraction were used for the size test, chemical composition test, and phase analysis of two kinds of Ti particles. Microcomputed tomography (micro-CT) and 3-dimensional reconstruction analysis were applied to analyze the bone loss quantitatively and radiologically. Hematoxylin-eosin (HE) staining and tartrate-resistant acid phosphatase (TRAP) staining were used to assess the histologic difference. Result. TiAl6V4 particles were constituted by FeO, Al45V7, and Al3Ti while pure Ti particles were constituted by Ti, Ti3O, and C4H7NO3. Similar particle size of nanoscale was detected of two Ti particles. A TiAl6V4 osteolysis model had more severe bone loss when scanned with micro-CT and assessed by quantitative analysis. TiAl6V4 also presented deeper and wider calvarial bone loss in HE staining and more activated osteoclasts in TRAP staining. Conclusion. A mouse calvarial model is the most effective animal model for the primary in vivo research of aseptic loosening. Compared with commercial Ti particles, TiAl6V4 particles derived from prosthesis of an aseptic loosening patient had more severe bone loss and more activated osteoclast, which was more consistent with pathogenesis of aseptic loosening in vivo, had high success rate of establishment of a model, and was more desired in animal modeling.

scholarly journals Effects of abutment materials on the tissues surrounding dental implants immediately after loading: An in vivo study

2021 ◽  
Vol 11 (Suppl. 1) ◽  
pp. 1-6
Author(s):  
İlkay Gül ◽  
Mustafa Zortuk ◽  
Caner Öztürk
Keyword(s):  
Statistical Analysis ◽  
Bone Loss ◽  
Dental Implants ◽  
Native Speakers ◽  
In Vivo Study ◽  
Immediate Loading ◽  
Marginal Bone Loss ◽  
Clinical Evaluations ◽  
Native Speakers Of English

Aim: The aim of this study was to evaluate the effect of PEEK abutments, an alternative to titanium abutments, with temporary acrylic restorations using immediate loading protocol on the marginal bone loss and peri-implant tissues. Methodology: This study was performed with temporary restorations using 32 titanium and PEEK abutments (14 titanium and 18 PEEK) on 32 implants performed on 21 patients (13 females, 8 males). Before surgical placement of the implants, intraoral and radiographic examinations were performed. The patients were divided into two groups as titanium abutment group (Grup Ti) and PEEK abutment group (Grup PEEK). In both groups, all implants were placed according to the manufacturer's recommendations. After surgery, impressions were taken using polyvinyl siloxane impression material and closed tray impression technique. The gingiva, which is thought to be formed on the model, was scraped and screwed onto the appropriate titanium or PEEK abutment analogue according to the groups and temporary restoration was prepared and applied on the implant. Results: The results of the statistical analysis show that abutment types have no significant effect on ISQ values (p>0.05), but the diameter of the implant significantly affected ISQ values independently from abutment type (p<0.05). Less marginal bone loss was observed in the PEEK abutment group compared to the titanium abutment group (p<005), and similar results were obtained in both groups in terms of periodontal scores (p>0.05). Conclusion: Within the limitations of this study, there was less bone loss in the PEEK abutment group (p<0.05). There was no difference between PEEK and titanium abutments in terms of ISQ values and clinical evaluations (p>0.05). How to cite this article: Gül İ, Zortuk M, Öztürk C. Effects of abutment materials on the tissues surrounding dental implants immediately after loading: An in vivo study­. Int Dent Res 2021;11(Suppl.1):1-6. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.1   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals Bone healing at non-submerged implants installed with different insertion torques: a split-mouth histomorphometric randomized controlled trial

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Yoshiyuki Amari ◽  
Adriano Piattelli ◽  
Karol Alí Apaza Alccayhuaman ◽  
Natalia Fortich Mesa ◽  
Mauro Ferri ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Bone Density ◽  
Controlled Trial ◽  
Histological Evaluation ◽  
Insertion Torque ◽  
Implant Surface ◽  
Randomized Controlled ◽  
Link Type ◽  
Low Torque ◽  
Torque Values

Abstract Objectives To evaluate histomorphometrically the healing at implants installed with standard or very low insertion torque values Material and methods Twelve volunteer patients were recruited, and two screw-shaped titanium devices were installed in the distal segments of the mandible using insertion torque values of either < 10 Ncm or ~ 30 Ncm. The implants were left to heal in a non-submerged fashion. After 8 weeks, biopsies were retrieved, and ground sections were prepared for histological evaluation. Results Histological slides from 11 patients were available for (n = 11). The new bone in contact with the implant surface was 39.3 ± 18.5% and 49.4 ± 9.4% at the < 10 and ~ 30 Ncm sites, respectively. Considering the pre-existing old bone, the total mineralized bone was 46.8 ± 22.1% at the < 10 Ncm sites and 57.0 ± 14.1% at the ~ 30 Ncm. No statistically significant differences were found. New bone density and total mineralized bone density were 36.6 ± 8.1% and 53.0 ± 13.5% at the < 10 Ncm sites and 35.9 ± 10.0% and 52.2 ± 16.0% at the ~ 30 Ncm sites, respectively. No statistically significant differences were disclosed. Conclusion From the data of the present study, it can be concluded that a trend of higher osseointegration was observed at the ~ 30 Ncm compared to the < 10 Ncm torque group. Nevertheless, it can be concluded that an implant installed with a very low torque may achieve a good integration. Trial registration ClinicalTrials.gov NCT04017156; trial retrospectively registered on 12 July 2019.

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